| NPI | 1720091945 |
|---|---|
| Doing Business As | BRENTWOOD MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES L TOMARKEN Commissioner 631-854-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-10-22 |